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NPI 1831118363

NPI 1831118363 : AVROM DAVID EPSTEIN M.D. : COLUMBUS, OH

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General NPI Number Information
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    NPI Number           |    1831118363
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    Entity Type          |    Individual 
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    Provider Name        |    AVROM DAVID EPSTEIN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/18/2006
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    Last Update Date     |    06/01/2018
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Provider Practice Location Address
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    Address Line         |    262 NEIL AVE SUITE 440
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43215
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    Country              |    US
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    Telephone            |    614-221-4166
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    Fax                  |    614-221-5524
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Provider Business Mailing Address
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    Address Line         |    262 NEIL AVE SUITE 440
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43215-7309
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    Country              |    US
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    Telephone            |    614-221-4166
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    Fax                  |    614-221-5524
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207WX0109X
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    Taxonomy Name        |    Neuro-ophthalmology Physician
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    License Number       |    35067301
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    35-06-7301-E
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    License Number State |    OH
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